title: [Impact of intrauterine device insertion surgery on women's mental state].
abstract: OBJECTIVE
  To evaluate the impact of the intrauterine device (IUD) insertion on the mental state of women.
  
  
  METHODS
  From Jan. 2009 to Jun. 2010, a multi-center clinical observational study was performed. Totally 641 women were selected in the six provinces' 18 family planning service stations and hospitals for IUD insertion surgery study. Analysis of the change of women's mental state which was evaluated by symptom checklist-90 (SCL-90) scale before and after IUD insertion surgery.
  
  
  RESULTS
  Before and after IUD insertion surgery, 10 factors' scores in SCL-90 of the observed objects were between 1.1 to 1.2, total scores were 107±27 and 105±25, respectively. Before and after surgery, total average score both were 1.2, the average score of positive items both were 2.1. The difference of the above results were not statistically significance (all P>0.05). Preoperative and postoperative, the rate of positive items was 9.2%-19.6% and 7.7%-17.6%, respectively.In addition to anxiety and fear, the rate of other factors' positive items postoperative was significantly lower than those in the preoperative (all P<0.05). The incidence of the observed objects postoperative of each factor score, "deteriorated" was in the range of 4.9% to 23.0%, "improved" was in the range of 26.3%-50.1%. The incidence of total scores, "deterioration" was 28.8% (166/575), "improved" was 45.6% (262/575). The incidence of the average score of positive items, "deterioration" was 3.7% (21/575), "improved" was 52.3% (301/575). Logistic analysis showed that, in addition to unit level, there were no other significant influencing factors for women' mental state of postoperative (all P>0.05).
  
  
  CONCLUSIONS
  IUD insertion surgery has no adverse effect on women's mental state.
authors.affiliation: Graduate School, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
authors.forename: Guang-hua
authors.initials: GH
authors.lastname: Chu
authors.forename: Yan
authors.initials: Y
authors.lastname: Zou
authors.forename: Xiao-ye
authors.initials: XY
authors.lastname: Wang
authors.forename: Su-xia
authors.initials: SX
authors.lastname: Li
authors.forename: Zi-rong
authors.initials: ZR
authors.lastname: Huang
authors.forename: Ai-hua
authors.initials: AH
authors.lastname: Fang
authors.forename: Ai-ping
authors.initials: AP
authors.lastname: Tian
mesh_terms: D000328:Adult; D003267:Contraception / Q000379:methods / Q000523:psychology*; D005163:Factor Analysis, Statistical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007434:Intrauterine Devices; D008137:Longitudinal Studies; D001523:Mental Disorders / Q000175:diagnosis* / Q000453:epidemiology; D008603:Mental Health; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics / Q000379:methods; D011795:Surveys and Questionnaires; D013997:Time Factors; D016387:Women's Health